Laserfiche WebLink
PERIVIIT A,PPLI�ATfON <br />BUILDING/MECHANICAL/PLUMBlNG/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />Sfi <br />fornewconslruction: Shah <br />A k�' � Nc <br />tt <br />No._ (atlach copy of long legal descnption) <br />PhonelE�mail <br />� <br />NT: Owner OwneYsAgent Conlracior ContraclorsAgent Tenant(mus�pm�nooaianerolmmumrtommoo.vnerbaowoMinmocpnm7 <br />;TOR Mo�,.� Pl�.r-,h�ny � sia�euo.aMocnP%��-�,S!3„T(� cave�5.uc.u053�35 <br />1 �S� 5 Hf T="S <br />ING PERMIT APPLICATION <br />w�� ysz�v <br />PRICE OF WORK <br />Existing Use of 8uilding � <br />Proposed Use of Building � <br />Building lype _ Single Famity _ Dup!ex ^Townhouse _ Multi-Family _ Commercial <br />7ype of praject: _ New _ Addition Romotlel Repair _ T.I. Sign Spnnkler <br />D ESC R I PTIO N O F W pRK (addrtiona� space provmed on �no Dack) : <br />�n s�z I' l3< c. k �.,u�Y-� �l c. I� !'n h� c� �-�n d� <br />MECHANICAL PERMIT APPLICATION <br />ofProfect: _NBw_Atltln _Aiteration_Ropair <br />S�ow NumDer (#) o/ Rxtures <br />aic _ ,v� tio,,,�u�,. � �� u� <br />Heal pump <br />Unit hcater <br />/S <br />of Heads <br />HEAT SOURCE: <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Typo ol Projecl: _New _Addn _Altcr�tlon _Repair <br />Sink (ser <br />6ackflow <br />Roof drains <br />Medical Gas <br />Olher: <br />I hereby enrMy Ihr I hnvn rtend un� enmMed IAh npplieation nntl isaw ihn cama la Eu Imv and mimct. AA provi:lom ol Lnn nnA a��lnnnma poveminp I�u rypn nl �voA wi7 be wmp!IcJ <br />vMn wbo�Oc� apeMlea �veln ar not. T�e 9runtln9 0l u p<m�Adocs nal V«s��nc �o givu aul�m0y lo vlolalu ar �nrcl Ine pmvlslon o1 eny a!�et 51nfc a� lowl law icgultting canSWCtlon <br />Thnl I em a�t�orucd by Nu ov,ncr ot �Ms p`oyerty m pertortn i�c work for vmlcli app��eallon ls maUc enC I wmply wdh Iho Stalc Conlraetor, Law 1827 RCW una 296 2oUA WAC. <br />� ��- V � � I ) <br />OwnodAuthoriznd Agont Signalurc Dale <br />(Revlsed 3?OfJJ <br />